Whalio Doctors

NPI 1336418508

Clayton R Wilson, MSRSCC

Practitioner Kinesiotherapist Vestal, NY

Practice location

Address
2220 Vestal Rd, Vestal, NY 13850-1940
Phone
(210) 380-2671
Mailing address
PO Box 551, Endicott, NY 13761-0551

Registered specialties

Kinesiotherapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X

Registry record

NPI
1336418508
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Dec 2011
Record last updated
17 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.